| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $1,980.26 | $7,439.00 | |
Medcost
| Facility | $1,980.26 | $2,518.85 | $5,230.82 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $23,342.88 | $27,607.92 |